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HomeMy WebLinkAboutROBIN HILL #2 BLK 5 LT 3BrLi (t. Lf 5 11 bkw) . 39 3- GLI 1 From ALPINE DRILL 907 345 0202 Sep.29.1999 05:31 RM P01 V. STATE OF ALASKA °a♦J DEPARTMENT OF NATURAL RESOURCES k DIVISION OF MINING & WATER MGMT WATER WELL RECORD p . ,CATION OF WEL 6 �gU4N, ., . SUSDIVISION LOT SLOCK �. ^ SECTION OTHS SECTION TOWNSHIP nANOE MR)DIAN I,.., ... ° ll 7 [IN OE a �w ESS "LO.C/ATIrON/SIKETC/H:. LL OWNER : / •.re k. ✓I ®®.umt.��rrra U6PTHS MEASURED FROM:Dcasing top Moround surface DEPTH: hh DATE OF COMPLETION - [LL -- th of hole. 8OR6HOLE DATA: �— Depth th of casing ft/ L :M,.hterial Type. and Color From To__—�—-- -- P O STATIC WATER LEVEL: �ft below Ll top of casing C] ground surface: � Date: .,tP—_ / r� n / a METHOD OF DRILLING: P9air iotary O'cablolool C1 other USE OF WELD: rk3 domestic ❑ irrigation] monitor 7'. 0 public supply © other__ 41' 'kn 414/ ip�`1d S� �{ �y J 7 CASING STICK • P ft. Diam: t ft,; Casing type: + I11.: OF 7^ ✓ b r� WELL INTAK61PENING..TYPE; :0 open and C7 screonod �4 D perforated open hole ' Depths of openings:= _ to eft SCREEN TYPE:��� biam:�_In. ' SlotlMesh Size— Length: ft GRAVEL PACK TYPE:23 ---- it,� __ _ Volume used:_—� _ Depth to top: a GROUT TYPE:^ Volume: ,—_ ,Depth; from ft to ft _ t� DEVELOPMENT METHOD:' LJ— Duration: —M8—' ��rcristc-r�: PUMPIN LEVEL AND YIELD: —ft after" -4 —: hrs pumping app - A Of iar°uhorage PUMP INTAKE DEPTH: _ 1t Horsepower: . ° & Human Services WELL DISINFECTED UPON COMPLETION] SkyEs E) NO rrMir.diillr' CONTRACTOR INFORMA N: � REMARKS: p„4`1 �" PLEASE MAIL WHITE COPY OF LR&TO: '2 7` " ate` 'DNR/DIVISION OF MINING & WATER MO, T Iature o ut onze esprosent ye B-5763601 C St, Suite 800 - ANCHORAGE AK 99603.6935 Phone 19071289.8639, Fax 18071662.1384 un ti -D IBJ ICU"\U\� �iCv� �nc� _Q,c�ou�h �v Lo�Pv� In �o. �— Municipality of Anchorage ' Page – of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 O Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On. -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: _S\h3 9 PID Number: _C)C3 Nome: l'•1 M��• Wastewaterc�rystem: `XN� ew ❑ Upgrade Atliross.,G .�' 4.,s,", I A�Vw� �Q• ABSORPTION FILO 13�o , Phone: �4E>850 3� No. of Bedrooms: a Trench ❑ Shallow Trench ❑ Bed ❑ Mound 11 Other Dee 1_�_ LEGAL DESCRIPTION Soil ROling' l Total Der'a ironriginnlgmde GPD/Sy.Ft. Lot: Block: —� Subdivision: +—� 5' (Z.D$le.l V41 LL- t• 7_ _ Depth to pipe bottom from original grade: 3' '-_,_ Fl. Grovel depth beneath ,pipe _5. 5 V Fl. Gravel length,(: +6 Ft. Township:Ren e: section: � g N N FII[ added abovop/iginal grade: i FI. � ..��..11 iY(New ❑ Upgrade — Gravel depth: Number of lines: Distance (ween lines: WELL: 6.O3` Ft. cFt. Classlficellon (Private, A,B,C): Pr�tva� Total Depth: Cased 148 F0 Ft. Total absorption Aron: r�2% SC. FL8117, Pipe materiel: ,6� D;a34� I1� f ►W I Date install d: Driller: M -W CalifDrll d;ater Level: it 5 0 FL Installer: SABE�t� _ - !1117.il _ Yield:— I Pump Set at: Casing Haight Above Ground: GPM I Nut' :'1: A2L4)Z Ft. 1 -C lGvri-UC'*•l _- SEPARATION,DISTANCES ❑Septic ❑Holdlny '�S.T.E�P.— TO Sands Abe oration Llft Holding Public/Private Manufacturer: 1' ... Capacity in gallons: rrysT- KJG-I-k —q�J (] }~C-61A,IIAV Flom Tank Field Station Tank Sewer Line. a -J/ IF '3Z,o /- Io -7 NA, / M%o Materiel: Number of Compartments: + UF -j,' ;'()A well 1D SjY^ Surface Water U r ^ K0 -zoo-zoo tA Iq0! "(�I�/,NFO' `�—T—LT�TC,TTa Ti' SY 1 Lel / Ba 10 / go — / 75 Size In ge o Manufacturer: Line Foundation. '3�/ ave % �i0 NI/� 'PuIavei at: Pump ofl'^levei at: High water alarm at: mp on" " T Curtain Drain n� '/r�� �Y' _I Purnp Makeh Model Electrical Inspections performed by: o(�x.1co� �Y1• o�:�-./; .,v. - --- --- -14 Remarks: S -'r E : PT94IFf, _ BENCH MARK �— Locstlon a scrlplinn: �� Ll�l1f•!?Yrl '�i SY��I f'. t'Yl�+, �Zyr.aeoa.aad 4'. �O Assumed Elevation: 7, �W2 F 5�., �• _ _ -r T14 r2 ®� �QO • oC�� ...J;4 .ENGINEER'S SEAL (1 .\ �— • • seas ..e Or�`L'��`,� l r V `•: _ \A 17 ��V�. (� �•---��� ,� 0 1 ff ev A.Gayness �• �;rdf � rn>_;a. :4`�1�"1 ,L.1/� �A_F_V�� N • CE -7953 e t'� p �F. �,rc.r.•ey i%b -_ �tYci' (i�1�..Pn-.t �'9F�e'°...•• ..'°'a' `, `�t"� �y eye! 6 a „a Ilia 4.0 .0 `Irispec ons performed by, �e4� l IN 2nd // /7 3_ •• 9 e freY•A. Garn T;�� Department of H ti d H ervices approval �, CE•7953 Reviewed and approved b , — ------ _Date:°1n`_ 14 �PROFESi10��t;a"1 72.013 (1/01) MOA 26 �� Z�IZJJq`,ij�= Lt_ �F Sc�ilc LkS-8�i_i �A"j !--= 5�.93�4�i S 89°53,55., W 442.125 0 a I v ?a 3E Mov>=D v� N a1, So " o EXISTING 8y, V - > v 0- HOUSS 557.4 a - ---- — Imo,—DP=/ n _goa�e�m" .. '.,iso "�A 1'�' � �-::.�� n-r.�.o� '�iv� _.._. / � - • - - {rL�, ^ �AI-t N L a� cd••••.• a� �_ /A AC _ qa —b / �a-"'ruy N� TD Ion I� 11 »: • � � -; cc' sEPTIC s�srEM SETBACK FROM POND G° tS wFs� < y' •�» �� ON LOT 3A AS SHO'VVN ON �j A ref ; _"� PLAT OF RECORD. I 45 CE -7953 •• . V / --0foE w . _ . . • . i���tiu p • F�••.....-• aa� � S 89'57'30:.. \ Nt.T 30' 450.00' ouSl V gD o....:........-......... p 4- FZc --7 ' U rJ �� af1N (� � . �(LJP�-c� k ��N� �atrS v ✓' n. LS '0.=_`ss'635 e " LEGEND: SET FND oo a s/a-Re ^;G. 5/8- R8 0' oaoerzeo av: p �! AL6fON. -,MONUTAENT"� \S—E3' OF: LEGAL'DESCRIPTION: 1UL MICHELSOI _ with MICHELSON &DAUGHTER FENCE- A — \\` X X V 1 - - LINO } SURVEY CERTIFICATION: LANTECH has conducted a physical survey of this OVERHANG L� j� property as shown on this drawing and that the improvements situated 'hereon WOOD DECKS ore within the property lines and no encroachments exist other than noted CONCRETE- LAND & CONSTRUCTION SURVEYORS -PLANNERS -ENGINEERS r� r e HILLS 1 f1 f? I 1 EXCLUSION NOT -c: It is the owners responsb0ity to deternI the existence ASPHALT- 0 440 WEST BENSON BLVD. 103: M U B l ill H I LLS S U B I = v I S t O iia of any easements, covenants, or restrictions which do not appear on me GRAVEL- t t ANCHORAGE, ALASKA' 99503 ':562 5291 (fox)561-6626 recorded subdivision plot. NOTE: Under. no circumstances should any data (SEPTIC STANDP! E d �"° o<om e.: °O"�5 hereon be used for construction or for establishing property lines. WATER WELL- " wO�,="Q¢-L-3R-A 1"-40 -JAN 13, 1994 MD I 2838 I IHD I 328/52 I -.-� I Permit No. wJ °13 �'' Page __ of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well InspectionReport Legal Description, P -0& h' 1-I 1LA- tW Z PID No.:__ Ila `Tt7_C1) C 1 Pf f"_moi.'. 8 1i - rl lob G7- I:o'7.b ( n2E,A _ n7��c,npltnnt �.-._L1/, Ivr I> t+air . I;.a . t/4, h ....t+ ,, ...... ...D? .. . U �srr+1 �mn�l (±OVF_•1L map-T 13aILOSE:'� INI SVHHr� selop .. ....... .. ...,. ,.n �` I25e GALION >'1'EP'i'�K • �ni I, -\ .� Ir1l� j- Ir.IV= �•�� 95'�....� .f ............. oI "k CIO 72-013 A (1/93)' .SwP(F± . ro._,.. 'IOP cP Nlb_ h71t ' --g- ---- B2 t raaM "ro �� S�Y.E.P DF $lAf� ro.E2oudD clioat� IN pEll7lvELy 6RouN0 , - FIAT i, rnr- r 00,n0 1 aFln app t.laiz FROM -roEi Of:: SLAM Ib N6yJ `r(asWn 1. BO . IA -L ivy c� L}DVG . Iz.q :L 1F7 -0n s _r" E. P i'n `[OE OF 51.OP5. F3Utz.lA1+DI=�t7d �- -3 ININVM_, P@2..CPnYi'P-AL' A. ,i EBrI.ENGINEERING II1:9075617071 NOV 29'93 17:03 N0.012 P.O', GRAIN SIZE ANALYSIS (ASPM D4221 PROJECT NAME: I—e T-38 PROJECT NO.: 5035 CLIENT: AXW,S DAT( - TESTED: J_11,89/93 13OREHOLE/LOCATION: TE$TE D BY: iiJPC_ SAMPLE NO.: 93 51 REVIEWED BYI M3 _ DEPTH: DCESCRIPTION:jjy deQ . and withgrg1 r SIEVE ANALVAIR T1=RT uIEVE SIZE(mm) DIAMETER TOTAL VA PASSING 0 %SILT/OLAP: A.3 4" 100 �. 3" 76.2. 0,20 2" 1" 60.0 25.A _- 100 00 314" _ 10 07 1/2" 12.7 Y a5 3/8" 0,6 78 04 4,76 67 010 2 46 8 20 0,05 90 0 40 0.425 20 N 00 0.25 13 1I100 �0.15�� ._.- 7 _ 0200 0,076 4,3 160.0 nD:O ME /0.0 60,0 'A FINER BY 50,0 Wf:IGhR 40,0 00.0 20,0 10.0 0.0 IOD EBB HVDRbMETER TEST Inc. ELAPSE -0 TIME DIAMI. R mm) TOTAL% PA814 0 %SILT/OLAP: A.3 1300. 4.57 _ �. 0,83 _ D10. 0,20 Ov. 23,1 CO. --9.0 0.0 U80: SP _ FO: --- 15 %.02 —� 250 _ 1440 GRAIN SIZE DISTRIBUTION U.B. STANDARD 516YE OPEIING4 %CIRAVELI 39,0 . %SAND: 68,7 %SILT/OLAP: A.3 1300. 4.57 _ D30.—. 0,83 _ D10. 0,20 Ov. 23,1 CO. --9.0 0.0 U80: SP _ FO: --- %.02 _ DATE PRINTED 11Y. O 10 1 0,1 0,01 GRAIN Slid IN WIMETERS GFIAVEL _I---,.....,....84ND_—.--L. SILT AND OLAY 0,001 RkV6100 /-\Vjv.75 c of -y. Alaska Water 8c Wastewater `services "Preserving the Fast Broutier MEMO FAX : 338-3246 PHONE: 337-6179 DATE: 3 ¢ T TO: mac' ri s, ----- COMPANY: 6 • _— NUMBER OF PAGES: (IncludingCover) FROM: SUBJECT: _ L IR)s l`A-t4-A-- t 1) -,J -u0 _ 3B� B>G s1 rZaBr.- J)alc MESSAGE: --------------._..,__ P�1t�.otl,=i 7th i s wF�z- Do,,E �nJ p� So 1 L 5 . — Sc, 1•L S P612-KaSl raL16147V7 E! rrn n lnchl < y- laJA-c�I i"ialC�d�S so; U. —is Poa>2v�_ 6,�aa� s�Q , � Fa-PPr,r cam --zap U,oULp _ �� 5 n 2 P Ica ✓ AIL4 F-82_ Z .?60 (Lzr),' / 40 LeS6* rC, 37.5 I2�-�f1SvfJ-a-'7vl- Sincerely Owne mess, ant M.S. X -V lAdy A. I'clephone - Fax 338-3246 0 8471 Bj-ookridge Drive - Anchorage, Alaska 99504 0 INSPECTION REPORT' 'MIJWICIPALITY OV'4NCMORAf1E, 1iIJII.BINr; 'SAFETY DIVISION 500 EAST 'TUDOR ROAfi PEGTISp�J£3 (�J07) �6 3 3fifyA INFORMATION al li}'NwiR Stwmw Wsaawwwtra a`. Itl a9w L:wwaaGWga: w::R mrt e::e :: ei .p x:ucr..� a::r :e:ntc:: _: r. m:n Y.wmwoawmoiwww w0!'W''Y 6s FUCHP ELECT PERMITkOp " l�ESS..;I„IJQO 'E'LORAL LANE w ,7 C✓,� P pNkr' IRr` , 13LMo- zD SUDDROBIN MILLS tENT9;.'SEi,WA.AGE LIVT 8TAT10W! 3 pE SP)EC'TIQN.,ELECTRIGAL 800011 0 :0 0 0 .q x _. .. :. . M..n...... x. « ..0 ...• «,....» w «. _• _. _. _. ,.._ , .. , .w y1 +y.!P la M> ,11� NO NONCOMPLIANCE OBSERVED -»f_a CORRECTIONS «ESSENTS�i�,`''A{�{'�k i EXPLoTNED BELOW WILL. REEXAMINE.AT NEXT INSPECTION I. 1 00 NOT CONCEAI, UNTIL REINS PI: HINTS; ��� r}C✓ l �f rCc L�r� �.QC-CV'tlli�4 1` 4tif.EN GCIRREGTIONi ri o ,N,i 'Jtt U,' MADE, KtASE CALL FOR INSPECT REMOVE Tf I'l£d ,NO'I'XGF 777 Ci26idA-(_ qaE Tv 10 Tn1 +W -S, SCS. i 2E 1U1 OeTAIL..` u�T'5" -..�wELI. 15r 4�£TwEEs�•�y11=_.+GFjEs - , - -.. \\\\ soil.P--n'�`J _SErr-� @ z75 �nn,l�3 14iLL. $f: z ur.lbtvb 'FFA Ry- dl D ,nll p.ATED P_ mai r4 Ln r 6 �pri� Pr ofose D 5(12F t— �' RruNpltTlbv C/O sarJee LOT i G/6 Fav6iY S ,ref --'SIG ` 44 z FEC -_,r. e i I/k Ij LL 56lL AA—VED e 200 Ur Ell. - P7 >- j�r91rJ IiL�502 McN� MF4Fi4 LUT B -TWIG .x DIN- 10 \� po�posED G_-r�E2n� wFa.L �1 L.I) q '(moo �.0 SkPnL /i Ill\ sf f r42LOT" s LOT' j` w1 SoiL 941'CO 0 sn ra sror � Lvr I t3K Lo -r Ia;, ZSvN Vr+-u,6y Fi'r'S SVN VA -LL" wra, LUTA. Rr 2 LOGATUrI �— s69T'IC e 42A",v0 6) 1,15 54t, pr.�6EDR.eNM �� ,�Calnl��fiL-.fJ 7�PT1 �. !�/cam t:_h1 (9G. I!rn.1 /-n)2, 't✓oB .l:- � ,',•'•� ����.�°S� le F 3' :IA-- 2� Lo ck L-07- 3l3 / r zN .PP.EFa ?DoR: M4K C3�lar�r t inJ .... ......� P2rpA�ED 6Y ALASKA \,VAT Z WAS-rj-_WAATeps�ufc�s O�IN�•. CE -7953 PATS .1 In is'.T3 _D<AwN : &F PNE.SS sCatps : r.-� OFEaea `�•m I .� ? �y Munlclpnilly of Anchorage ' %( DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 t SOILS LOG — PERCOLATION TEST ' l qR� PEFFORMEO FOR. /-!II-�- �Ff�WlI� DATE PER PO RM EDI Da LEGAL DESCRIPTION:_ 9Y- 5 i l -Di 3 _ _ Township, Range, Secllon_ OF. PTH (r-EIT) .0rZGA4 1 ; 2 ` SILT L'ON9 SLOPE Q 0� •16a, 1 a"° ESS1 ,. fL�vrSFD' itia/�q /q3 JWAS GROUND WATER Mn - 11 12 13 14 15 16 17 18 19 20 tAPERCOLATION RATE __J_� (minmas/Inch) PERC HOLE DIAMETER TEST RUN BETWEEN _J-._ FT AND tl14-r.�FFT� '.OMMENTSI_�_SLA Alu' RA?fJ7 IA I�Ii SL., �'.Vric.�M�-•I�____'_" StJGLVLi ISI b 43 /.' O II•L, !rc_'T(-S'1" I -f -D L.%E�� ip�' %' 1 •S `.i�M I LL�1L -T'n � T F-}'t� lam-' .� PERFORMED BY: ����C���`--�'"�''SS ___-_ I J�.'-F7� CERTIFY VAT THIS TEST WAS PERFORMED IN ACCORDANCE. WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-000 (Rev. 4/05) Municipality of Anchorago DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "'L" Street, Anchorage, Alaska 99502-0650, SOILS LOG - PERCOLATION TEST ..PERFORMED FOR:_�•1^'�j' , �rNwgy 31 is..._ t ak e••S . •i q • uw ui••y • a *y A. Gan a s iu ®oa CE•7903 •14940646 dw DATE PERFORMED;_\���.y���_��6/q'"rz FW. . I "l ' a _ Township, Range, Sectlon, !"1 LEGAL DESCRIPTION;',_ lA'T. --_ ^�^- SLOPE d�:rgra�,te • . �8tyl(r cf?•.�aP 2 "ii2eWsi�ior;ia 'To 3- 4 Data to b 93 v Not Time 1 MIA G35 Depth to Water i µL,4, - Not Drop -'` it �L 6- �V a d 7 6• ° QV 9 • LS- t' -.10 d o.' A , 11 12• n. 13- 3.14• 14 - s�aryvoy` �. WAS GROUND WAT ENCOUNTERED? IFF PLAN At, IF YES, AT WHAT 1 DEPTH? — 0epih to Water Aller,N� Monitoring? —,� Dale: Reading l Data to b 93 Groat Time nl /a Not Time 1 MIA G35 Depth to Water i µL,4, - Not Drop -'` it �L n zD LJ /J PERCOLATION RATE "4'[h (minutes/i/nch) PERC MOLE DIAMETER 1✓'/ 7i PEST PUN BETWTEE�N `" FT AND � r�/.°5 FT •OMMENTS._IL',�1E�•1:1� .+�_ Wt�I1 /,nCF•i PERFORMED BY t SAYS'`' I ��=—••�S- CERTIFY THAd'. IS TE r WAS PERFORME ACCORDANCE WITH ALL STATE AND MUNICIPAL' GUIDELINES IN EFFECT ON THIS DATE. DATE: 72.000 (Rov. 4/85) .• z� 4 C' Municipality of Anchorage DEPARTMENT Of- HEALTH & HUMAN SERVICES 825"L" Street, Anchorage, Alaska 99502-0850 SOILS LOG •- PERCOLATION TEST PERFORMED FOR:_ M,k^E' Bi�-L1 Pt -a W —_ DATE PERF �208a` l+i�L LEGAL Or 01( _ Township, Range, Section: h�,A• —� SLOPE SITE 4EN, 2 3 4 � .L. S 9 ►0 r ra :'a . •� �J �: r A.Garn„a t Orr e1-7953 Fa �•....a••�'.' ORMED: i,�\OF�s�rt� �OJI6/9.3 5 -r 14 WAS GROUND WATER 6 f• �. 7 s) 17 , A 8 `a 19 0 20- DEPTH? `OMMENTS A 10- o D, 11 Us •. 12 D. D � 13 14 WAS GROUND WATER 15 Depth to Not Water Drop 16 17 / 18 ` u 19 0 20- DEPTH? `OMMENTS nr3-Si' WITH' •�~� $!bi' p�p r OZ -.. WAS GROUND WATER N D Depth to Not Water Drop ENCOUNTERED? S ` u IF YES, AT WHAT 0 - DEPTH? P E 1_.76> pepth Da Water Aller MoltllorinD? Date: Reading Data Gross Time Not Time Depth to Not Water Drop PERCOLATION RATE nYe (minutes/inch) PERC HOLE DIAMETER ' TEST RUN BETWEEN FT AND N FT PERFORMED BY: I \epel— IS Lam•/���� CERTIFY THAT THIS TES�.RFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: — 2 ---- 72.000 (Rov, 4105) -. 20 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW930451 DATE ISSUED:10/27/93 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES EXPIRATION DATE:10/27/94 OWNER NAME:BENJAMIN MICHAEL S & MARIA E OWNER ADDRESS:13100 FLORAL LN PARCEL ID:01739304 LEGAL DESCRIPTION: ROBIN HILL #2 BLK 5 LT 3B LOT SIZE: 157700 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: DATE: ISSUED BY: DATE V — Municipality of Anchorage Page 1 of 3 . DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION 1'.0. Box 196650 • Anchorage, Alaska 99519-6650 • 'T'elephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: PID Number: Name: hl�k_ �%i>J�„t�nJ�r--- WBEtteWateYSy3tenl: New El Upgrade Address: a+ - �32.o I a�Pf�re � ABSORPTION FIELD Q4q? �_— --- Phone: _ 3Lf1Ma .,r ger.' (�j ,3 oo No. of Bedrooms: 3 Deep Trench O Shallow french ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: t°Z Total Der'h from original grade: GPD/Sg.Ft. —9/. Lot: Q Block: Subdivision: 3$ 2 W t* '4 Depth to pipe bottom from original grade: r '}_ Gravel depth beneath pipe s< a 15 Da it -lir I L.L. ..9 Ft. Ft. _ Township: 7II Range:^: Section::�(� �. Fill added abovapflglnal grade: _ Gravel length: / Ft. 4.6 WELL New ❑Upgrade Gravel depth: —Ft. Number of lines: Distance Dista�nc�eq�(ween lines: Ft. I r+ /A Ft. Classificcation (Private, A,B,C): Total Depth: Ft. Total absorptionnarea: 5Z. sca.Ft.F01t7 Pipe material D3o341�H0Driller: pta;t7lZat)er Dat Dril d: evel: Ft. Installer: Date install d: Yield Pump Set at: Calling Height Above Ground: J �r �`I H' Z. ) ` _ , -- 1 2' I� U -TANK-. S.`�', �+ GPM --0 Ft, SEPARATION DISTANCES ❑septic L) Holding Xs.T.E.P. TO Septic Absorption Llft Holding Public/Private Manufacturer: — Cnpaclly In gallons: PIA -C From Tank Field Station Tank Sewer Lines L�.JGN_��wK �' g 3 _EoMOdN%! ' Well I 1/ 31zo� 10 -7 NA, M60 Material: sl� Number oflCo}p` IFIrs: STACCe - Surface OH (40 zAJN 14% r'sF°v -Wf -STATYaW- S T. I1� =Water 1 Line Line e8o, t o eo � 75f SI^ r�o Manufacturer; -• JK Foundation / GO —/ „-300 / 00 NIA "P'uTmp on" level et: Pump off'levol et: High water alarm at; n 41 r rte'/f Curtain N n nb N Pump Make&Model Electrical Inspections performed by: Dram a /k p21 ��CO M, O .A Remarks:U1 BENCH MARK A-9-�1.11- Su(LV�� — �— __ _ Location and Descrlptlon: P o r w aA L CA -S -------- ��. C�AtZNF 5�,, V?. E - ---------- --- ------ Assumed Elevation: _joo . oc� -. ENGINEER'S SEAL Inspections by: C'? ��=� ' �I Ib 93 Id performed —Dates: is 2nd N i7 23 a»^�° $too .•. �'. .....• ::.' Gnrn ries/ Department of Health and Human Services approval CE -7953 a? Reviewed and approved by: Date: O.Fw�se�.�o"`�,'�`��� 72-013 (1/01) MOA 25 a N I R_220.00 _g .34 X LU q iA Yd 2 V' V1 u O�T�u z pF z <� U W F OZ U w �V1�0 __FLORAL _LANE y._ 00'0 32' W _ 117.2 -o 1s ti�z h I z ca 4 tt 2 X 4 S iA Yd w Q � ❑ n i K z o <� U W F OZ U w ¢ C o K 6 J U K n n 1�� • c • i U' 3. -- 10.0' UTILITY ESM T. ( (4; 00'03'55" E 174.78' 0 b w = N y Nom' LOOL �xi a3c z� OF— rUA U N y C U n S T O y U O C O �U JS uE Wo.4.E .0 ice" u 8 C—O Ovv �,'•� u L J O b = L== •N ° U N O« Z U Q rL-• J L C L C .: N a '3 vil,„ uwOC9 O O°. v//'��Ib. L L 0 0 V) o. o bi n � cn J �1 � 6 ED �n p O Q J (Y N o� w 4 o o lL o �o 0 7 Ln 00 ' 0- O w O ._ 1-aV)o ` I r0<bio O Q \ _ q u_ Y 69 U) 1- 0 O 0 Q ��ioa d 11/O% Q\ J \ 1�� • c • i U' 3. -- 10.0' UTILITY ESM T. ( (4; 00'03'55" E 174.78' 0 b w = N y Nom' LOOL �xi a3c z� OF— rUA U N y C U n S T O y U O C O �U JS uE Wo.4.E .0 ice" u 8 C—O Ovv �,'•� u L J O b = L== •N ° U N O« Z U Q rL-• J L C L C .: N a '3 vil,„ uwOC9 O O°. v//'��Ib. L L 0 0 V) o. o bi n � cn J �1 � 6 ED �n p O Q J (Y N o� Permit No. 15W93"+51 Page 3 of .3 --. Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 < Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: I-n'T 3S BK S_1 (ZOgIN H IL.L---W 2 PID No.: i _ _rcc in - n ........ ........� rt;i'E�R ._....._........ FAGfZ1Cr ® COVFJ2- Uva. S.`f'.E.P ixWK- SJr1l-1r-IL `14 lop.................1 n C15 D 6 0 72-013A(1/03)' 1250 GAUI/N STEP �'A.1K -Top Tr -i -JK= 81 . oq . Wue li INV°= Bo•51 80 3o J swPE + ro... _. roP of 47+ FROM S.LE.P 0G' SI.oPF ii To F2oo�D Ix (LEfA71vElY '. 6Rau^'D ; FLAT 77 .i! 'TRN35•It77.SR'YILLF?� V I 5 z/12[94 $Fw1C U MPrLk',- 1 S 'rOP nr IOD,PD Ft:':.IT. n M r Mo N0i>D ov 'T�^✓-� 106 b7 -10-7•O loo'A DF 1'/ 4 0QPY_= t_1aE. FROM -TOE; of SLOPE `10 .. .. .. ... .................................................... \17- 1 iz FQDM s rr. es. P To - `co� of swPE • � F3J R1 A'u: AEPTi-I = 3 flINIMM P�fL Cgr.1i'C'1�[3i-D2. l XP 1 y��.oF„A�.qs :... rI*f i�. ».. u .. a..o.o.�• u l !,dl Il ; '111 ��: plO " ;� ! EBFI.ENGINEERING ID:9075617071 NOV 29'93 f"11k-f=- GRAIN SIZE ANALYSIS (ASTM D422) (>YLoPEJ7�"7 PROJECT NAME: �bY'3�31 B 5, �ogw Hl1.L4-2, PROJECT NO.: 5035 17:03 No.012 P.O- CLIENT: A.W .S.DATE TESTED:/1129/83 BOREHOLE/LOCATION: _ _ TESTED BY: RJPC _ SAMPLE NO.: 93-5.1 REVIEWED BY: DEPTH; DESCRIPTION: Y22riygjg ed sand U qMn _ 907 51EVE ANALVAIR; TEAT SIEVE SIZ1: DIAMETER (mm) TOTAL% PASSING 8" 152.4 0.20 4" 100 Co. 3" 76.2 1.40/0 2" 60.0 _ 100 1" 25.4 00 3/4" 97 1/2' _19 12.7 85 3/0" 0.6 78 04 61 810 _4.76 2 --4-6- 61120 4120 0.85 30 N 40 0.4252.0 8 CO 0.25 13 _ 8100 0.16 7 8200 0.076 4.3 100.0 00;0 80.0 70.0 00.0 %FINEROY 6010 INFIGI rr 40.0 o9.0 20.0 1o.0 0.0 Ion EE'A Engineering Inc. NVbRDMETER TEST EI-APBED DIAMETER TOTAL% TIME. fmm PAS61N 0 0.6 _ 1 2 4 0 16 30 00 _ 250 _ 1440 GRAIN SIZU PlUTRIBUTION US.8TANOARD SIEVE OPMN03 %GRAVELI 39.0 _ %$AND;_80.7 _ %SILTICLAY;_4.3 Y... Doo. 4,67 D30- 0.63 r DO- 0.20 Cu. 23.1 Co. 0.0 M.C... 1.40/0 U8C: SP ��- 0/6.02 mm 10 1 0.1 0101 0.001 GRAIN SIZE IN MILLIMETERS GRAVEL GILT AND OLAY DATE PAINTED 11/1 O Omoo •W (DRILLING, Inc. P.O. Box 110378. 10330 Old Seward Highway (907)349.8535 ANCHORAGE, ALASKA 99511 DRILLING LOG Well Owner_ Micha A. & Mait .a Benjamin —_--Useof Well Domestic Location (address of: Township, Range, Section, if known; or distance main road - Lot 3B Bl.k. 5 Robin Hills Size of casing. 611 Depth of Hole 1118 --feet Cased to -148 -feet Static water level– 110 ft. land surface, Finish of well (check one) open end ( X ); Screen ( ) ; Perforated 'ua( aF4S Describe screen or perforatlon.pCl�---- --- — Well pumping test at-5—_(minute) for_ 2 —hours with.— 100 of drawdown from static Novemb` Date of completion K rrt �V` WELL LOG ------ --- Depth in feet from ground surface Gip `:dgE9j18 of formations penetrated, size of material, color and hardness -- 0 GS. cl ip 2 m„ 4 7 47_TO-5��- 54 To -76 — 76 rn 79 5i dy,l gbb�.e.Crayel.; brown — �I 'rHy � �,ye1; small----- _----- i,i''r`. o�rliv larown 82 110 TO_-- - l33 .Fv X YIrSv t) V .��w��el r [v/, 110 S It _i.ylf� . ..iv"26- , 14p Crave? d-i`l`tyaric)y u 13 —3To----•- 4� G. 1C II. Tdater_ Gravel coarse - TO--_.. _ _ -- 0l i TO --- I —CUSTOMER PAGE 1 OF MUNICIPALITY OF ANCHORAGE IPyn DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 Ili `�-- ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT �' J3L� PERMIT NUMBER:SW930451 DATE ISSUED:10/27/93 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES EXPIRATION DATE:10/27/94 OWNER NAME:MARTIN DIANE A 50% & OWNER ADDRESS:13100 FLORAL LN PARCEL ID:017393.0�l DIi LEGAL DESCRIPTION: ROBIN HILL #2 BLK 5 LT 3b LOT SIZE: 157700 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD PEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: DATE: 1d -i'' -� DATE :/''�2- f 10 43' 1 "c 4f' /I �'' io jetk� 8 9073383246 11/16/93 13:37 P.01 r3 6.740 t�3 Alaska Water k Wastewater Services o "Preserving the Last Frontier" ME FAX- ;.--- 338-3246' FjiOO E: 33' 179 a ` DATE: �� ih33 NUMBER OF PAGES: (Including Cover) `r1 ?0 To:D�r841 �,� lnl SD�_ FROM: A COMPANY: b � •vii ���� --- ` I L1 q.N}�, SUBJECT: r 3 94 -i s "it 1AJ /1-114 /0 G`k � o MESSAGE:: --_-- --� -- ---� l>Lj �`�—__--- -TI "J "'j" E`_. P ao C -FRS or-, Au LL 1 J & dao t L Z*"PO: SIf�.vE__AJA4-F7StJ �1 j U./" pbwN)o yN4-r- JgWL Q O Fr P(k4 foxF..G) ct( H4D sb/I& L6.1.41!L-5 3 Sm it So(L, wrr�Gtf wouL.O P43,0utE fF0006—_C>7 5 00- l61' , 774X:AO-�� —rte A"-' p/7-4fbSi,Jb -1-b [.JA , iA - _ �, ------ — > °p W C.4417,6.4 PA9,4-- n,4 / &-pj0r-7 -r4.1-55. N+ j Y7 .14,f4 W t G.L, f 3. -49 L0.4 (y -7 - S` , -•F i i'�W',P f YLfZLAJ C.. et iS,��S f 6A) St+o u LU 94-c e�1 J 6� t +� `7wY5 " jYd. JG t P �Yri'17�� 1 j Vbrk 1 G--! VA LIPI Sincerely. ��� ,pE<.St`4�-] • ��a�-- ; PUT �� jc--1 R o r -t arc vnJ f6k try, b LAA -16A- CSP "Sty �i S Q 1 Lr Cy Darr af�- /0 ;Jeffrey A. Garness, P.E., M.S. , Owner/CAnaultant 8 9073383246 �p(.1, 1,p�ATlOn1 4� �210sMA 5o1U M ONIT'0Q1NC-r Y2- gacu,F11.L wlW IJlnY'Iv@'a• SOIL 'Aad e -4 '4 -rnrnl_ "�acN 49;' AP,.soRfa'r'1oN SMO Ivr Z n Jud1 �`e e q J> °b. on: E404 .Q.! iE ARAIO ROCK d- y ,I VA 4 I,. v a 4,. l ID J IJOTi° ' DRAIN RJX-I'. -' A"L . SS 1/7..IN4A , .T.O ; /a INCIA e•C2EF_NGD Rite -K• 'TP-MNC4 VeTA1L t Lo'r 3S, 177) Po81.J FF1w # p2epAaaD r-OkL M%Vka 11/16/93 13,39 P.03 MaLwo tACV-FlujwD roI- .V=lurapF FABNC ,.sly -r ^paRpoA a2 IN'SNI.A"t b&i BOP'/ -'V V " ip pvo- Piep- i imo V+"4) P,00-fb' t-'vo?-y +1 0 .C. S-ieAF'_ai lW--k 4'd' SIDS... WA" Muo)rr Bt~ RAvc's> ©R. rc, f-aIPle° PRIPP- m PLAiael-iMkrr of DOIPl RM4. f�E F'A RE�57 9`/t AIASV JA WM-EA � WASSTI WAISP- >II�G•S (i /16/l3 I nRAWM t C-rAeJJfV:SS SCALE> s t4l-S 4 I Nc.l'h-1 A. A 8 9073383246 11/16/93 13:38 P.02 �s n )bl.i{2�R�EG7. -sOP'riC- s4S1+'-1t Fwg L-07- 3B., liK a� 12041W= F+ILI- 441 Z a/W . 71 +1LtI lbC� l lbl��a pf,apAa,D rpR: 1�11K CiF�.1A�:Ir� ALASKA WATER � WaST-=WATEP, 5 2YIG S parte : II / 16'%93 aeawN : c'TA�-.�+�s.��s c„wL.tr : � "•,a � r a ze. Alaska Water 8c Wastewater Services "Preserving the Last Frontier" October, 25, 1993 Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On -Site; Services Section P.O.. Box 196650 Anchorage, Alaska 99519-6650 Attn: Robby Robinson RECEIVED OCT 2 6 1993 Municipality of Anchorage Dept. Health & Human Services Ref:: Subdivision of Lot 3, Block 5, Robin Hill S2. Revised Engineered Septic Design for Lot 3B. To whom it may concern: This letter supersedes all previous correspondence regarding subdivision of the subject property. Due to poor soils encountered on the northwest corner of the subject property, we have opted to Utilize the northeast portion of the lot -for onsite septic on proposed lot 3B. In addition, we have opted to provide for engineered systems on lot 3B, rather than a "reserve area". Attached is the site plan, and trench design drawing for the original septic system and the two upgrades required.. The system designs are for a 3 bedroom house. 1. TRENCH DESIGN: As can be seen from reviewing the attached percolation test results, the soil "perked" faster than l minute/inch at the general location proposed for the systems; therefore, a sand filter will. be required. For a trench system, this corresponds to an application rate of 1 gpd/f t2, Since the existing home has 3 bedrooms, the total design flow is 450 gpd. Based upon this, the minimum amount of absorption area :is 450 ft2. The proposed system is a 5' wide trench which is 6 inches deep. The proposed trenches are each 90 fleet: long. .2- LOCATION OF CLEAN -OUTS: The clean -outs normally required in the trench, and immediately downstream from the septic tank, have riot been provided since the system will have pressure distribution. 3. TOPOGRAPHY: The subject trenches will be installed on an area which is relatively flat. However, it is only about 10 feet: away from a slope which varies from 25%-35%,. Due to Telephone - Fax 338-3246 0 8471 Brookridge Drive 0 Anchorage, Alaska 99504 the porosity of the accepting soil I thank the wastewater from the trench will move downward rather rapidly, and the potential for it to migrate horizontally to the: cutbank is minimal. For this reason, we are requesting that the 50 foot separation requirement be waived for the original and future designs. 4. LOCATION OF TEST HOLE #7 REVISI=D: On the previous report submitted for test hole 47, the location of the: test hole was incorrect. A corrected "report" is attached with this package. Please disregard the previous report. I am unaware of any adverse impacts that this installation would impose on adjacent wells, or septic systems. If you have any question, please call me a 337-6179. Sincerely, J JAG/jag Benjam`i.WPS S. P.�vis�� DAG-• (21<'.PIA G,t=J'1Gfl-• T1?-f�J G41�S. _ q D LUQ 5 , wrLl, 15r P£TwEFs� -P71sac.E{E S jEpi�\ 50tL. r-nTE_D' (7�Bir.l 14ILL GJ 2�5 —n SOiL Rn^,E.D 2z, G�NOFVGLtlpGU �Nl Lor s t SuR Y. f= 020or� F�cu'.S� 14 ril o FouNpa9�cr. c/o / -1; co a 195 I� r Y4IF7- SpoE. E ion MEI r, W Ioo, 2a0r 11'/4- PVc n� r a >o L nYD c zoo U ELL �25o GpuoJ1 "++ FZn61n IIIUsli2 Z A ,� - TWK nPOSOD O\y S -- L c�T aft m W ESL- v1 -N UI IIL--v 1" in N S�Pn� X37 no s os G� z.so S Lor I 3Y- 1_LOT IOu BK ) �i. '+UN Vo-IL�`/ V-1r-, SUN VP L-LF7,I �'�-T'• l6'�4 J CuMM.iH.1'�l u � r� 2. �( COM MJN�TY u•!.n O VIAL44 WA0,A AI` <6Pr1 L u� � � 6C-.NcfIA4_ LOCnTION y; �s wren L _arrtc PA7,6D (J 12� Srd, FT'./(i Eo2.u»M NUlal i �I � w Gc�. FT� f3E0CooM T F�1L-�I.J'(=-)-_nF� SFPT"i L=`/Sl`CcJ'•1 D(^SI(_yn) ow POP,, M11' ff- (3E1OL1AM I.rJ W P2F-PAele-D M : ALASKA WATT-Z � wAsTEWATeR. SEP_uIG � PArE : Ic, 2593 _._ DzA.wN : &A2NLS5 I sc,t.La, I =mo s n 95r 15 -1—F--1-�-•r+-s-t-1-�-4-r-1--s•-F-�-i -15 � New OLOG �J!>i�F-F—IL ',D S�.P'C1C s4S•1`F_1-t Fo1Q L07 3B,) BY— sa pp,EPAaF-:D POP,, MQ�EL Cif->J•1P"Inj P21✓Pa�.Ep L�`I_: ALasKA WA�'�. � Was•rEw�"rs�, s�ulGf�s , PAYE!10�z5/�f3 cZ� /,I -, C>AP�E.�S (cy A.Garness �4i6 • ,• CE.7953 OP jLC ct� sotu--�AAva- A M'NIrIUM LES vT14 of _90 FEfIT IN -,-u rAL- ASS�2B-noN AP -F -A of 4aQ �UAeF- 7r--G"r-: .._- gn•cKt=1�-� wrn-4 Np.TIVE 5011_ ; AND MOUND SOIL.. PROV1Dl= _ ' �� • INSU1/>•nC4.l P.oAP� 1F Coy _R I cs ss rNnnl 3 .- — g1�T 2✓a�RiGR j \ z 4 0 z5 DPn 1r.1 RFK oz. U �. D � 40 • •4 A. ^ �. �'. Ill > � C sa;,,o FILTER i• N If — 5 -- 1 yq nC� PdG pi P� r WI•iN fa.rEiy p. G NUi f CUD •YT 4r_ 0 I MA Gn(At S S�l4Cl_ CoaFo(L/t .-To M'O.A P-fFcLitA---1 IoNS b� p�CoU lA=4i OJJS 0, -Tlf-1f=. OF ?,LOCA-- LOT' 2B , �P( ,:.....,., • S !1 5 E. SHALLOW TRE.NC_N C3Ty�,lL, CTYPILAt—�^ A PREPa¢�� Fof2 ; M1KE_ • U. +� CE -7953 i• _P2,=P��E-p QY ..../�l:f�SKA VJ,4rER..�t WA•StEvlA`r4..R, �EQ.uIC;��? r• � F9 .. ; :• ������ CTA2NESS i I 0 U(iIE: IfF:-. Alaska Water & Wastewater Services "Preserving the Last Frontier" MEMO 4 FAX #k338-3246, NUMBER OF PAGES: (Includinq Cover) Yr,> aB`1 y2z)t (A -S CVj FRr1M i.;UMPAMY: _L� i7 S ---` SUBJECI- I2-.G1fj 14ILL s i> I°�ESSAGic: su(3DIvi LD Jars SVRA71'/ Cu;ILLL 4,-6rVF--= tMs l_cDu >— u -/&,u s( X62 —p, --P P � I t1+,-� 1 roN �_s u a � •� T" �� 9-940 °� . _ . (� v F--_ SM 0✓'� S -51 L7 8471 Brookridge Drive • Anchorage, Alaska 99504 . Telephone': -(907)337 . 6179 Alaska Water 8c Wastewater Services "Preserving the Last Frontier" RECEIVED October 24, 1993 - OCT 2 5 1993 MUnicipality of Anchorage Dept. Health & Human Sorvices Municipality of Anchorage Department. of Health and Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Attn: Robby Robinson Ref: Subdivision of Loi: 31 j� Block 5, Robin Hill #2. Engineered Septic Design for Lot 38. To whom it may concern: This letter supersedes all previous correspondence regarding subdivision of the subject property. Due to poor soils encountered on the northwest corner of the subject property, we have opted to uLi.lize the northeast portion of the lot for onsite septic on proposed lot 3B. In addition, we have opted to provide for engineered systems on lot 3B, rather than a "reserve area". Attached is the site plan, and trench design drawing for the original septic system and the two upgrades required.. The system designs; are for a 3 bedroom house. 1. TRENCIi DESIGN: As can be seen from reviewing the attached percolation test results, the soil "perked" faster than 1 minute/inch at the general location proposed for the systems; therefore, a sand filter will, be required. For a trench system, this corresponds to an application rate of 1 gpd/f t2. Since the existing home has 3 bedrooms, the total design flow is 450 gpd. Based upon this, the minimum amount of absorption area :is 450 ft2. The proposed system is a 5' wide trench which is 3 feet deep. With a reduction factor of ..58, this corresponds to a trench length of 53 feet. The proposed trenches are 60 feet long. 2. LOCATION OF CL17AN-OUTS: The clean -outs normally required in the trench, and immediately downstream from the septic tank, have riot been provided since the system will have; pressure distribution. .3. TOPOGRAPHY: The subject trenches will be installed on an area which is relatively flat. However, it is only about Telephone - Fax 338-3246 0 8471 Brookridge Drive 0 Anchorage, Alaska 99504 10-50 feet away from a slope which varies from 25%-359o. Due to the porosity of the accepting soil I think the wastewater from the trench will move downward rather rapidly, and the potential for it to migrate horizontally to the cutbank is minimal. For this reason, we are requesting that the 50 Foot separation requirement be waived for the original. and future designs. 4. LOCATION OF TEST HOLE #7 REVISED: On the previous report submitted for test hole #7, the location of the test hole was incorrect. A corrected "report" is attached with this package. Please disregard the previous report. I am unaware of any adverse impacts that this installation would impose on adjacent wells, or septic systems. If you have any question, please call me a 337-6179. Sincerely, 7L�y,/A. Gar\ , P.E. , M.S. 0 onsultant JAG/jag Ben jam3. WPEi 02GirjM-7CF—)Ct-, -=o 60 SFS -jY2F�.1C.H- D�-h41L . LIST 5- WFLL 151 Bf-�Tweff- I T2E>.�CI-IE S Soil_ CnYD (2C)e IJ 141LL- tZ UtJ =VLA 'C1� SErric Cv z�s (31<. 5Y L -OT Z //////itc1 SOIL RA's E 2ZS �UN D�V�LUQGD � � �� Lor 6 <�Prc PryopoSED �- ` // Su2 gF=o(?oort V'ou:f_ I+2 E wLI- tl1 FoantDnTlm. G/O VI roi L ?1. i'A (9 d L� V4IF $LOPF-. --9 L67 7 .. .� (Vou10c C/o IC SUL u IOn FEET. _ UJ loo/ zaO II�V Pv' —� So — p2oP Q il P�(D G' zoo W 1250 6AunrJ S.TS.PQi R„Blnl IIIu,S!}2 2 LUT Y --- A,4<".TWK s,LAT I.J OK4 SEG P¢opoSED - ° p(fl GFyf-J1^A� Ln N L� �+ <� � onlD N u .S�PT1C7vw�n3 S�Pn� j ST RAcK n Lor :tt 3 � � ��rn+• s�oe. 5oi L (Za-t-ru� --- _ i L -0-r 1 Q% 2 LOT 10 j Q K) 3U3° Z 7C, Gu" VnLL6Y 1Vr5 SUN L.,ZEq HT-. &z--F�a 1 � � jsv�v v IQ A1 sComm,NI -- JI H d In -kCOFI'1••y �j• q (��y_ (.00A�jc�ILS W tA o ',EPTIC"; EO 17.6 Srv, Fr/3r=0RooM --' Raogov a rRy1 3 °4 E OF q�>>1 'tN0 )=n1�IN�J-'r � SE=_f�ric_ cysTFP�I D�slF,ra/-•ofZ �nSl� I�t�L .r ��• '•. ��" 1-0 GK S L-07 3B �— �;. h d� cio �EN3 PREP�D �oR : 1•t1��. 13GrUp�:1nJ ®T1 LnC' fr Y A. Garn s J — -- P(?F-PAV-ED ?YALASKA WAT-6 I�F9 •C.E-7953 •'��.�'090r �I I GRP�GS�S �— 1DU n IOFOPRD POP sGA�t-E • � =e�A®tea �®oi `jLc--oc 4 svAALL 4A\fa- A MINlm\)H t FsUTFF of r . p s, a�a6�ze„oN APIA .os 5�'�1 sc�uAa�r. ...-SACKFIL-1— \lIn-14 NA.TIvG SOtI_: (AoNvToYLINC-r iVB� ONS F'F1d. '�'R.1-,1.7G¢4 i T dP-AIrJ RFK —.-� z % m Sa�P F���� rtix�LL AND MOUIJD SOIL. PROVID= I NSU LA71DII P.,OAC'D-. IF ; i f--77 egvEft I� :.�ss'rNnhl3 �� I: — SI�-T p.A�RIcR I \ z of o m� ocz. o Y'1� PVG WITH �l� � P�•-1(-�4 , �<. „' Nim Cont nuc` �o�J MA Y� lAt �. SNgL� Co Ftiv2M -Tn M•0•A z d� P 6'u LA-1-TP/LI GTI OIJ . -r 5�/b' 5�W9DE. SHALLOW TRF_.NC.,4-1 C>Ez'A,Ih CTY.PICAL-�^ ,, . m • PREP av�D wf2 s M1K._.. a m --aXIC.ks � ,� f CE7953rh'`�@��� `P ZEPAVIE"D M ALASKA W , al..W/kSTEYJ(kT1—� r �� A AROFI:SSID ��' 4 r p�:.. 1�/9" : oawN ^ �APc _ sCAI E N'TS V I U �3 , Das L 1 LS E' 3�D UPS F_P/ii PCsI(yJ M!wUnL i�..�or1Sli - I b �SPaS�C.. V�Af r-s. 'L 7s1-��I .I_._. f. SSU. (FoLDfan I- - --- _ I L.. LASE- fi sS u r-t F• l�ja�!�1�-i- ! C���'�- I - U -�-�+ � � _ I._ - - - -- =. iI 8/3�� or1 Fi�ut2�- ' l SS�r �1(e 2�i of I ('2F SSkJO H�-'11U Int CA ilcllA�: I�1-G-(-S I -_ l j w t U J i Il I � i I to ILD lF�1,TMl I - �»- ..L- I I. I MIrlIMjM DoSF -- PIPE VOGUMs kl lb SS,LL- , ' •`A-�Gr+o/1�� �wKs ° i.�sfl ��.,;S��P���I„�° i��i�j �ci����� I, - - p2ovtoff_ A 00SA' 6F r�fP -fes , r + F LO W a-I- IoY IMAr7T, L� -70 nF f ¢ r Sv�i p PIPS V>%.JLPOf2A7N:� PIPE r - I w duo hi PE= = 2 x (IPM 4S�n A -ss v/-ip'rro Aj -;� F �,�;vti=•,SDN ��Gs%�•9 (�-:P.--r-v�vC��'���y �P �y ��•2P-c�E�v� t°o�i gull. (tl�l Gt_r—\j dnl pr�fEll��GS?977- �-70 f-( • l y� Ot lJ ei �T�lY> MG.O.O�i 1. B e. p i ORL- lc D Moi L p ©sT 05'r`ll ZC) O� 350 me] 10( 5C PM ;All --1119-0111m. I 111 . oS11 (2) ...... ............ i -i--; ... ... FLUENT PUMPS P2 20 OSI HH PHASE, 60 HZ Sept. 7!� 7, SINGLE VOLT ... .. ... . .. ... ......... ..... ... ... ... ....... to ...... ....... F F 77- J-1- -4-1- -LAJ J- J.. 4 4 77 7 ........... J. J. ...t... .. ..... ... T'I'T -!J- 1E. E.. I... ... . . . .. L ........ LJ ... 1- 4 -4 i. TF ft ........... . ... J '7'! ....... ...... ....... ... .... J. j_...... . . . . . . . . ......... .. .. ..... .... ..... .......... : ...... ..... . ......... ....... �.J ... •...1...4...L 7 ... j.j:j_j ... 1.J 4 ... . .... .. — ---- - ..T7 --- ----- - J-1.4- O.OSI 'OSI '15 HFI - 11 SWOO — . . . . . . . . . . 10 HH - 8 Stago 7 77 . .. .... S1071-11-1-6 -1 Stago 17 ..... 777 OSI 05 L HH -5 114 Stage nt Ilor . ... 1. .30:OSI j 05 HH - 3 St .. 11 . i-ij with . . . . . . ... ... 20 30 60 NET DISCHARGE, GPM R E C�E IYF D nosoburg,OR 974TC ... APr"m- N11un c,:aauiy.c r Anchorage' tbo'pt. Health &.Human SorVjdlds 7�ST �1ctE Jt—7 _ e Municipality of Anchorage DEPARTMENT OF HEALTH 8, HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502.0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTI 2 9IAj -qv- 5 , t.nT 3 rPEEn I .C)rzc MAG Soni G eavf- - :-N, at DATE PERFORMED:- Range, Section: N/T' SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? __- 12 Depth to Water Aller 13 Monitorino? — Dale: _ 14 rRnding Beta Gross Tlm_— 15 16 17 18 19 SITE PLAN "7 Not Depth to Not Time I Water I Drop 20 PERCOLATION RATE 14 A- (minutes/inch) PERC HOLE DIAMETER KI TEST RUN BETWEEN la A' - FT AND ±jLA -FT '-OMMENTS _ND ISE' Ate— 'SI1>QE.S µ � BA130p LI I'W% �R•V 15—`} flu—'� S r(ZYrh� f t 1 b G l9 ���3 t D !rl 'TF--S-T HV 1,6 '4-7— 15 S! M l t -a/ -Iv PERFORMED BY: `L r CERTIFY THAT THIS TE T WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:.- �3 --- 72-008 (Rev. 4/85) . Municipality of Anchorage DEPARTMENT OF HEALTH 8, HUMAN SERVICES " 825 1" Street, Anchorage, Alaska 99502-0650, l SOILS LOG – PERCOLATION TEST PERFORMED FOR: •— DATE PERFORMED: 12ot l J 1 NLI- 2 — N /A LEGAL DESCRIPTION:_ 15►— b w t P__— a � b LZGaA.ti11 G „ 2 T(�1vdSl7lbnlLA6 TO 3 5M" 4 b 5 d' s o ~�. a d o' 6 ` R D 10 " 0' A 11 12 0 v' 13 4 ,a 14 15 16 n 1a 19 20 'OMMENTS �o, Section, SLOPE ,1 soy m it's 'r -- WAS GROUND WATER ., ENCOUNTERED] s L IF YES, AT WHAT r IIA 0 DEPTH? _ .11 Depth to Water Alter ,� Moellering? — !41p Date: Assw�e=D Ir-iPf,Rr4EA6EF- 24rl3 14 Lj X11 < I. M••14U• I) l • �IS,t� + . 16A . 11• • .•..,.. .110 Hp 6 as. syA,Garness- 1 W� CE -7953 rOe PLAN — —r— Reading 1 Data Gross Time Not Tlmo Depth to Not, . Water Drop:; �- 2 al g 2mn.IT —P So �t7T V1 PERCOLATION RATE/I (minutes/inch) PERC HOLE DIAMETER n TEST RUN BETWEEN b FT AND •IF FT PERFORMED BY: -CERTIFY THAT IS TEF WAS PERFORMED L r Y ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: _ �� �'4 - 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR:_M\k= QP'lrJ _DATE PERFORMED SSW 14ILL#2 LEGAL DESCRIPTION'QIL. X T-- 3 Township, Range, Section: SITE PLAN 1 2 3 4 5 ,n o 6 t• 7 v 8- 9- 10 9 10 4 0 'o • 11 f U 12 0. o v 13 - - 14 15 16 17 18 19 SLOPE A. Garnets 1'0/16/93 G� Wt SoHE SIL' 11 fri uPPCF. 12 91 P 0 WAS GROUND WATER T ENCOUNTERED? S L A IF YES, AT WHAT 0 Z DEPTH? —_ P E —� pepth to Water Aller Monitoring? Sale; S1' LT' AsSvr,6A I M P�246461f� Randing Data Gross Not Depth to Net Time Tlmo Water Drop I i SLOPE A. Garnets 1'0/16/93 G� Wt SoHE SIL' 11 fri uPPCF. 12 91 P 0 WAS GROUND WATER T ENCOUNTERED? S L A IF YES, AT WHAT 0 Z DEPTH? —_ P E —� pepth to Water Aller Monitoring? Sale; S1' LT' AsSvr,6A I M P�246461f� Randing Data Gross Not Depth to Net Time Tlmo Water Drop 20 IL'JI PERCOLATION RATE e�((minutes/inch) PERC HOLE DIAMETER TEST RUN BEETW{E—EN t -416=.p FT AND 2�.FT 'OMMENTS S D 1 L S (-2� g- • 5 rr E'iCGS'�'LL,1.. Diy ort-Sr,�= S��s^yS7�M • �� — PERFORMED BY: �\^� �'^"��--. 16J -s CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: A0 1 4 1 A-3 72-000 (Rev. 4/05) r ZA Municipality of Anchorage It -717, Development Services Department Building Safety Division .. On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage. AK 99519-6650 www.muni.org/onsite Q r (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL !� FOR A SINGLE FAMILY DWELLING Parcell.D. dI� -�93-DL/ COSA# Qq&2'19 1. GENERAL INFORMATION Expiration Date: — _ZD — 3 O - Q -I - Complete legal description ROBIN HILL R2• BLOCK 5, LOT 313 ❑ Public Water System ❑ Location (site address) 13100 FLORAL LANE • ANCHORAGE, AK " 99516 Current Property owner(s) ERIC AND LAURA KELM Day phone 522-3227 Mailing address 13100 FLORAL LANE • ANCHORAGE, AK • 99516 Lending agency Day phone Mailing address Real Estate Agent MARILYN MOORE W/ REAL ESTATE BROKERS OF ALASKA Day phone 244-2844 Mailing address 3300 C STREET J200 * ANCHORAGE AK • '99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well N Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the Stale of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spoyses) for properties served by a single-family on-sito wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, t verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,, shows that the on-site water supply and/or wastewater disposal system is (are) sale, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone Address 3701 E. TUDOR ROAD, SURE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit ofthe owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. 337-6179 Date .-117-8/D5 Conditional approval for bedrooms, with the fllowing stipulations: • ON-SITE •' WATER AND •; WASTEWATER : PROGRAM Attachments: COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: (/ Original Certificate Date: 7 - (Rev IllOS) / '_/ ... ... ............... o '•.J a A. Come s.: 011„ �_ E-79 • �... cc•90 Conditional approval for bedrooms, with the fllowing stipulations: • ON-SITE •' WATER AND •; WASTEWATER : PROGRAM Attachments: COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: (/ Original Certificate Date: 7 - (Rev IllOS) / Municipality of Anchorage �1 Development Services Department - Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ROBIN HILL $2 BLOCK 5 LOT 38 Parcel ID: O/%- 393 �� Y A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# NIA Well Log (Y/N) YES Date completed 11/5/1993 Sanitary seal (Y/N) YES Wires properly protected (YIN) YES Total depth 148 ft. Cased to 148 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 11/5/1993 6/4/2009 115 ft. Static water level 130 ft. Well production 5 g.p.m. 5.6 g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrates 53 mg./L. Other bacteria colonies/100 ml. Arsenic: ug./L• Date of sample: 6/4/2009 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./STEEL Date installed 11/16-17/1993 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over, tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 5/14/2009 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA BFI ow EXISTING GWDEI Date installed 11/16-17/1993 Soil rating O.pEd2r0bdrm) 1_2 System type TRENCH Length 46 ft. Width 3 ft. Gravel below pipe 5.8 ft. Total depth *10.08 ft. Eff. absorption area 522 ft' Monitoring tube YES Depression over field NO Date of adequacy test 6/4/2009 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 12 in. Water added 600 gal. New depth20 in. Elapsed Time: 190 min. Final fluid depth 112 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE - KNOWN If yes, give date D. LIFT STATION Date installed 11/16-17/1993 Size in gallons 1250 Manhole/Access (YIN) YES "Pump on" level at 41 In. 'Pump off' level at 41 in. High water alarm level at 45 in. Datum BOTTOM OF TANK Cycles tested 3 Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. CARNESS Date _- -7/2(,t COSA Fee $ `I / 0 Date of PaymentZ/ :)-X I o 9 Receipt Number 013Sro5 (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage • �-- �\Development Services Department ; k, Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 090242 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 5, Lot 3B of Robin Hill #2 subdivision. This inspection revealed a nitrate concentration of 5.53 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. 07/27/2009 16:27 9075616626 LANTECH, INC. PAGE 02/02 r r. c co u o' 0 g tJ O_ I 0 I ©c� Win 1 6 ar Q W W e m C e =O i v � C © cr A 9 CL < iii N O n Q X K� LA 8 101L 101 ,8L'tL l M „99,£0.00 N I 9 10' T co w O m A C> O O 0 •1NS3 AlllLr n ,01 Oar -,-Nr 1 OnA 00 �PT�r�j r m zzNFn 0 m V, -J * m0zz� �L400 Z Z ,w 0 D X z 7muS / Zr�rp � DZZ � O NTE 0 I In 0 J r O C4 co QOOD 04 �pgbc�l; ~ 04Q Q�pp,91 e 0A .tb.o J Oc > g i I 0 I ©c� 1 6 ar ,+. O n v � C 0 9 � iii �F Bow.. (x7 54 RYA Koi I'M IS5-si'a7„n se Yq>; zap 6K 00355 !! oMo.',2 u.o�j v o o Rw $ e X223 5gr �nni= '�g�i apz Bai � 00 aadn sx �a•x R's-$;ite - Ut. w 100 3 YY` 'R oB; Bs�i ^�-X4 S. -X4 S. .•s 0 • ^ i 3 0 c c j i 0 7 y 3 n Q X K� LA 8 101L 101 ,8L'tL l M „99,£0.00 N I 9 10' T co w O m A C> O O 0 •1NS3 AlllLr n ,01 Oar -,-Nr 1 OnA 00 �PT�r�j r m zzNFn 0 m V, -J * m0zz� �L400 Z Z ,w 0 D X z 7muS / Zr�rp � DZZ � O NTE 0 I In 0 J r O C4 co QOOD 04 �pgbc�l; ~ 04Q Q�pp,91 e 0A .tb.o J Oc > i ,LZ'Llt M „ZC,Z0.00 N 3NVI IVaOl3 00' u O z cc to a W up v� m L 121 JUN -05-2009 10:57 AM #04 II • rot6 0 0 A+ HOME SERVICES, INC. CUSTOMER 7501 E. 140th Avenue Anchorage, Alaska 99516 345-1890 Erie Kelm ora arse an..... fie, AK �OC1(. Block Lot P.02 INVOICE# 35252 %,9� Gallons Y, --Septic Leach Area Holding Tank ❑ PROBLEM AREA — CALL FOR MORE INFORMATION ❑ NEEDSTO BE DONE AGAIN IN 6 MONTHS 'fig- Good Shape ❑ sludge buildup on bottom ❑ Jim cap missing or ❑ Cut standpipe to 1' above ground needs replacing Standpipos %%(�Time ❑ Floater on top ❑ Needs Septictrine DESCRIPTION Amuun 1 DATE I $145. 0 Pump Septic 4R. lift q. Wev o ?Ma YtY a d. ��-.-•. _ 1 -_ �.� Jam. v -` • 0. •�-i 4•��.�� lF## r Y• iii�^�.�i 522-3227 051'01+ 1200 gallons, 2. standpipes Tat* located �'r � c +1'O is ct. 1 %� Il0 J..n «h TOTA t7zjj. REMARKS - .. P_ %,9� Gallons Y, --Septic Leach Area Holding Tank ❑ PROBLEM AREA — CALL FOR MORE INFORMATION ❑ NEEDSTO BE DONE AGAIN IN 6 MONTHS 'fig- Good Shape ❑ sludge buildup on bottom ❑ Jim cap missing or ❑ Cut standpipe to 1' above ground needs replacing Standpipos %%(�Time ❑ Floater on top ❑ Needs Septictrine Ike MUNICIPALITY OF ANCHORAGE: • DEFIARTMENT OF: HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # Lll 2A I,- CLA HAA # 1AQ9' M 1ASCR 1. GENERAL INFORMATION Complete legal description T,nr gin; Rl nnk F e Rnhin u; .i 1 ' #2 — Location (site address or directions) _13100 Floral Lane Anchorage, AK —_ Property owner _ague Crehan _— Day phone --- Mailing address —C/O Prudential Vista 4241 "B" Street Anchorage, AK 99504 Lending agency Day phone Mailing address -- Agent i3n1]1z MnnneY_/ rudennt a1 Vista__ Day phone 273-7311 Address — Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF 13EDROOMS: 3 — 3. TYPE OF WATER SUPPLY: Individual well xx Community well Public water _ NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAI_: Individual on-site xx _ Holding tank _ Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA 021 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based onthe information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ALASKA WATER & WASTEWATER Phone 3?2--617 CONSULTANTS., . Address ANCHORAGE, Engineer's signature Alaska Water & Wastewater Consultants, )M— Shall be PAID $ I$ °e--- 4 or prior to, closing for the Engineering Services Provided:,. 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments 0 Date .� � ,Y,�. S� � e CE•74'ba • .�� e• bedrooms, with the following stipulations: Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-05(Rw.1N1) Back MOAN RECECVFD *DD Municipality of Anchorage OCT 01 %'099 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division MONUPAUTY Of AN( 825 L Street, Room 502 • Anchorage, Alaska 99501 - (907'10*- "V"_ Health Authority Approval Checklist Legal Description:ROBIN I LL SllEIDIVIFalON: J 3B. BK ;L Parcel A. WELL DATA Well type __P$IVATF—_ If A, B, or C, attach ADEC letter. ADEC water system number._��g___ Log present (Y/N) Date completed _ DEEPENED3-9Z—_ Total depth _ 225___ Cased to _�29' _ Casing height (above ground) _ 24'+ Sanitary seal (Y/N) __--yam Wires properly protected (Y/N) _ YES—, FROM WELL LOG Date of test Static water level _ 2DPi--- Well production _ 7—�g.p.m. AT INSPECTION --q /15%99- ---- WATER SAMPLE: RESULTS: 5 Coliform -- �96-- - — Nitrate —�o�g/i Other bacteria Date of sample:_-- Q/1F/qq _ Collected by: ___ A.W_W.C_, INC. B. SEPTIC/HOLDING TANK DATA Date installed -1t /16 g3_—Tank size17F1�_ Number of Compartments2— Cleanouts (Y/N)YES_ Foundation cleanout (Y/N) _ yFc; _ Depression (Y/N) _411__ High water alarm (Y/N) _ YES Date of Pumping _EI x/99 Pumper A+ HomE s Rvic s _ C. ABSORPTION FIELD DATA Date installed __W13Soil rating (g.p.d./ft2 or ft2/bdrm) 1Z_ System type TRENCH _ Length _ ja Width __3'—_ Gravel thickness below pipe _5,g' __ Total depth to' _ Effective absorption area 529 ;Q Fr_ Monitoring Tube present (Y/N)yE„c Depression over field (Y/N) N_ Date of adequacy test q/j_Vgs ; Results (Pass/Fail) _ PASS _ For _ 3 ---bedrooms Fluid depth In absorption field before test (In.); _ 11 Immediately afteUM.-gal. water added (in.): _3 F.5 Fluid depth. if - (ins) Minutes later:__ Absorption rate =_ 450+ _g.p.d. Peroxide treatment (past 12 months) (Y/N) NONE KNOWN If yes, give date 72-026 (Rev. 3/96)' D. LIFT STATION Date installed 11/16/93 Size in gallons 1250 Manhole/Access (Y/N) YES "Pump on" level at' 41" "Pump off" level at' 41" High water alarm level at* Cycles tested E. SEPARATION DISTANCES 'Datum BOTTOM OF TANK SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot On adjacent lots Absorption field on lot 100'+ On adjacent lots Public sewer main Public sewer manhole/cleanout 100'+ 100'+ N/A Sewer /septic service line 25'+ Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line 10'+ Building foundation to' Water main/service line 10'+ Surface water 1 on'+ Driveway, parking/vehicle storage area 20' (STREET) Curtain drain NONE KNOWN Wells on adjacent lots 100'+ A F. ENGINEER'S I certify that I h e 1 th field inspections and review of Municipal reo ha h ems are in conforman a wi A A 'delines in effect on this date. o3rp V''' p; Signature Engineer's Nanfe / JEFFREY A. CARNESS Date -- HAA Fee Date of Payment3�' 16? 7 j Receipt Number ©�1G �7� oo2 ) 72-026 (Rev. 3/96)" Waiver Fee $ Date of Payment Receipt Number 4 TYPE OF WAST WATER DISPOSAL: ividual on-site 5. STATEMENT OF INSPECTION BY ENGINEER v As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval; application shows that the on-site water supply and/or wastewater disposal system is safe, functional and'adequate,for the number of bedrooms and type of structure indicated herein. I furtherverify, that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with.all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Alaska Water & c� NemeofFirm WastswaterServlces Phone 337/7/ ch, A 50M1 Address Engineer's signature Date r j - •1 sv V4a V•�ana•1 • �,l ` � r a , "�•• oa a as .• a s°el� w 6. DHHS SIGNATURE _ Approved for _ Disapproved. J Condltiotiai approval for PLO e-,-tb Jug./ I 'I, bedrooms. bedrooms, with the following stipulations: too- _n,fiG Feuowccy<, 'lam lriLu��' 1'>� Cc1un�DCGTCA n P01 rCrI .45 'D"1144 -au A,,QL,( e/_vvvt 6ttc�'i— Additional Comments 'fie P_eT�Mn M�y-t 00 r,TIV dcap fir` 1W-rA111K -fD 1-H6 -rP&-- 1ct+, n. 1,ccArRot-4 o>= 11je- -Mutt -T�IMU (ctaretnG ut w rn+ Ra�'T -to � fro �/�pry GrN�S rMus� ' ..,.(yd .souT )o)tMm- \/'-<SO arm By: .� a t,v cSrg m-1, Date` Lelq 4 - The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesyto purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a. certificate is issued. The Municipality, of Anchorage_ is not responsible for errors or omissions in the professional engineers work. 72-0= (R v. iR1) Back MOA#21 _ Municipality of Anchorage Department of Health and Human Services it HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: I—� g 8� Rb3 v� —__ g p Parcell.D. _ A. Well Data Well type �lv If A, B, or C, attach ADEC letter. ADEC water system number_ Log present (Y/N) _ Date completed // 93 _Driller _ H —W Total depth _r _Cased to _ (4 B I __Casing height Sanitary seal (Y/N)Ca _—_Wires properly protected (Y/N)�l=S Date of test Static water level Well flow Pump levell FROM WELL LOG 11 � 5 1- n' 1 5, 7'A=f� g.p.m. AT INSPECTION SEPARATION DISTANCES FROM WELL TO: / 'TVp�vEl��P Septic/holding tank on lot _ j n ; On adjacent lots _ (bO � A'i PrTi pkv �l-o P� Absorption field on lot wC� ( .k ; On adjacent lots > tQar 'Tv Public sewer main Public sewer manhole/cleanout— /Y LA i Sewer service line _ -- Petroleum tank __ ^V//I WATER SAMPLE RESLIL Coliform Date of sample: ate _ �' 4 9) "Other bacteria _ C _ 3/29/y4' Collected by: a:SS -- B. SEPTIC/HOLDING TANK DATA ��. l (� 1T�1K.J tjEf tiJ Date installedI tt� Tank size _Compartments `FW © Cleanouts(Y/N �i �- c„ Y S = Foundation cleanout (Y/N) -=--Depression (Y/N) _ NZ) High water alarm (Y/N) --\4 )= S Alarm tested (Y/N) i5���2r� /rJSJ940-70 / Date of pumping _—N //4 Pumper —=_k__ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 10-7 —_On adjacent lots To property line _��� d=Absorption field d_ Surface water/drainage Foundation ac Water main/service line ��_ /C)/ 72-028t3/931•Front CONTINUED ON BACK PAGE 0 x ° n cr g'p'm' ila m x SEPARATION DISTANCES FROM WELL TO: / 'TVp�vEl��P Septic/holding tank on lot _ j n ; On adjacent lots _ (bO � A'i PrTi pkv �l-o P� Absorption field on lot wC� ( .k ; On adjacent lots > tQar 'Tv Public sewer main Public sewer manhole/cleanout— /Y LA i Sewer service line _ -- Petroleum tank __ ^V//I WATER SAMPLE RESLIL Coliform Date of sample: ate _ �' 4 9) "Other bacteria _ C _ 3/29/y4' Collected by: a:SS -- B. SEPTIC/HOLDING TANK DATA ��. l (� 1T�1K.J tjEf tiJ Date installedI tt� Tank size _Compartments `FW © Cleanouts(Y/N �i �- c„ Y S = Foundation cleanout (Y/N) -=--Depression (Y/N) _ NZ) High water alarm (Y/N) --\4 )= S Alarm tested (Y/N) i5���2r� /rJSJ940-70 / Date of pumping _—N //4 Pumper —=_k__ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 10-7 —_On adjacent lots To property line _��� d=Absorption field d_ Surface water/drainage Foundation ac Water main/service line ��_ /C)/ 72-028t3/931•Front CONTINUED ON BACK PAGE F, r�) C LIFTITATfON" Date installed /�� 3 Manufacturer Size in gallons �SlJ (arc Go�S ` Manhole/Access (Y/N) `J S Vent (Y/N) Ye CS "Pump on" level at ! "Pump off' Level at High water alarm level I I-- SCycles tested J /A (N� S `ts 71Er 4 Meets MOA electrical codes (Y/N) SPr=(-nort ReOt' T- -14 A'E. -P u I L4—�-!. , SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot 1017 On adjacent lots Surface water 4o D. ABSORPTION FIELD DATA Date installed �/ q3 Soil rating (GPD/Ft') 14 Z System type Ids=J� Length 46Width a Gravel thickness Total depth z Total absorption area 5-22 Ti Cleanout present (Y/N) N a A' Depression over field (Y/N) N Date of adequacy test , Results (pass/fail) for � Bedrooms Water level in absorption field before lest /\i e-4- After test /"� /A Peroxide treatment (past 12 months) (Y/N) If yes, give date� A . P/�SS(!Ra Ots7Y2tBu77C14 SEPARATION DISTANCE FROM ABSORPTION FIELD TO: t >. to wu( 00 I crr 4, gr -4 r?oB+r1 Well on lot 3 ± On adjacent lots >+,w t* a. Property line To building foundation -30o" .-- To existing or abandoned system on lot On adjacent lots io r Cutbank �9 30 Water main/service line .Z-,;> 10 n' J° i Surface water �' ( Driveway, parking/vehicle storage area (,5:i77Y2J-z157-D Curtain drain _ & s ,s As -8u,L�r E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or Signature Engineer's Nam Date 4112,43 4- HAA Fee $ Joc) c}z Date of Payment 7/- 41` & Receipt Number a,5-7 � Ll 72-026 (3/93)' Back to all MOA and HAA guidelines in effect on the date of this im Waiver Fee $ Date of Payment Receipt Number A. Garners P�o..... " V resstot'_� Alaska Water 9c Wastewater "Preserving the Last Frontier �L MEMO FAX 338•-3246 PHONE: 337-6179 -� — DATE: 4/3 � 4' —� NUMBER OF PAGES: (Including Cover) To: COMPANY: m- 0. A SUBJECT: )IAA FtR, /00,8hJ MESSAGE: 7 C- �g3 c�or5 D�u>_ /,J _SP�i.� Cs_`�4 . A F 1�G-P- s�P; 7 � S ys 7'��` 9 ✓ A'3 /� 57�{ u�.1� ,_/rJ fit- ; 26A:0 —W WAS Sl 1/F7 Sa `T7a �l� p•�n ii1 -5%rA-7.7L)rj ;T F? -MjS,) �if-i 7744.5 A15.aDS -7--a B F� C`-oR �'� f J_HS SP2t J �,SSor �OP/7-70�J — — —= —f. o f%j L� 3 o t= COV &P- o Vbe- Lt 1 r" r -D `Ta ADD Soy L.. .Dem Sincerely, Jeffrey A. Garness, P.E., M.S. owner/Consultant 1'cleptione - Fax 338-3246 0 8471 Brookridge Drive 6 Anchorage, Alaska 04 Alaska Water k Wastewater Services "Preserving the Las[ Frontier" MEMO FAX : 338-•3246 PHONE: 337-6179 DATE: 3 14- _ NUMBER OF PAGES: (Including \Cover) TO: — � F ('Spy FROM: COMPANY: SUBJECT: _— LOT- MESSAGE: .o I Sf'=p I L I iJ.S ll4-�L A -1"i D n� —_ 2 MESSAGE: 170n,& p/J — ` �JG t1 j�rij lbws V6&2 tf-V .SL,j7-4/t.47y a- F- So i LvS . Sc� i L S p&,r?-gaD gmmm�m YY, i !) -Z1 el SL! 6l4—/ L7 /nl i71 S` so; is ?01) G 2wE� sA.,O . APPr i r zoJ _. o f _) • 2 G -PP / Fr- - Luo u LD �PP � �✓=-4 X1-65 o 2P T ra✓ N1�-� Fat_ 3 ECM (l-Po,y_ k- v uSV= )S 375- F3'; _ Ex�s,�� `�2�.�cf� ft4v,0r----t SiEy� /yvau�S! . 11 _ � F-- �:,.,-r-r lL=��>, u -t D,F p�r�-I � —��-�' SIGH✓ ! �s �V P- Loas�r�-1vF Sincerely Jett r �. G rness, Owne / ons 1 ant M. S. A. I'rlephone - Fax 338-3246 0 8471 Iiroola idge Drive 0 Anchorage, Alaska 99504 . MUNICIPALITY OF ANCHORAGE 0* DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D. # 01 _1 _ 393' 0�z __ HAA # P-6- 1. GENERAL INFORMATION Complete legal description — LO I c 0l7 P—a9l4 Nicol` 2 - Location Location (site address or directions) _6 3 100 F Lo P2� L -n. JF _- Property owner Mailing address Lending agency Mailing address Agent Address _ tJnless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: — 3. TYPE OF WATER SUPPLY: Individual well Community well Public water _ Day phone Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE: OF WASTEWATER DISPOSAL: Individual on-site Holding tank _ Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 )Rev. 1/91) Front MOA 421 5. STATEMENT OF INSPECTION BY ENGINEER �1_1 As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect oon�nn the date 4is �inspection. �Cr 3�`T71/1 Name of Firm . A'tA3� � � � SVCPhone Address Q 4-71 Amo Engineer's signature 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. 0 Conditional approval for Additional Comments Date ea � E 0 ..rte:. * B 9 ... ... ......... o c' e A. Garn �W E795 OFESSIO���v `0\aevavas. bedrooms, with the following stipulations: U lTIC The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025)Rev.1/91) Back MOAN21 Q. 0 Alaska Water & Wastewater S "Preserving The Last Frontier" C� MEMO FAX : 338-3246 PHONE= 337-6179 GATE: �13 R�J NUMBER OF PAGES: /Q (Including Cover) TO: \✓�� E-4 s _ FROM: S1(iFf' L�An�1 S�_ COMPANY: i t' O. -_ �—J) -A- 4 ---� SUBJECT: SAPS rc S�lS7fJ� @_��.i 3 91d5' MESSAGE: is co PV of Lj57 rrE-P- Tt7 Cdr G'or-�rt��S G)6�C-r �Gi6S, 5128/94- Is/94- Nom, �7 Sys7Y� 0vJ2 S.T•E. P 'j�1K . DN 6A,Zpi�j(- E 2aM —TopyF HA-jj -0th L;D "Ja �2ovrA0 . �3" P L'�crl. CKs „ ,Ns1 .�r,��✓ 5,4;'1 S' -,isd . P6 >�>-L Prz-�gQF-�s IS _iia Lo ca ; �t1 ( oJ= P✓t��.Svl1� L(nlC-- /A! (2F—('IVW S 7`o _�� iS (JNcE2T`tir^I �yuNi`2ATn2- C5-S4J?ECt� ,IrDA 1Wssv+tiFJ A -LL ?44-;s L(e j46 4Jef (S�,y—�2o�+6rti Cg`t w D {Llcf� n q rl t-(-ouS Garness, P.E., M.S. ltant Telephone: (907) 337-6179 • Fax: (907) 338-3246 • 8471 Brookridge Drive . Anchorage, Alaska 99504' i Alaska Water & Wa8tewater Services "Preserving "I'he Lost Frontier" May 28, 1994 �' M Michaelson and Daughter 4221 Warwick Dr. Anchorage, Alaska 99508 i Ref:.Mike Benjamin property Dear Paul: I made a site visit to the property today and found that not much has changed. My findings are as follows: 7 a.The road does not appear to have been moved any perceptible amount. Mike Benjamin was on-site and he concurred with me. The;pressureline from the lift station to the toe of the slope is very close to (or under) the edge � d - of the road. It is a fact that the frost depth below and near the road will be significantly greater, than in a snow covered area. This could createa freezing problem. If the a' road does not get moved, Isabelle Construction will need to U assume responsibility for any jpotential problems. Mike � Benjamin, and the -financial institution would have to n concur. J b.. The lift station has yet to be buried with 4 foot of cover. Mike.Benjamin'and I bothlphysically inspected it and found the cover to be slightly o er 3 feet. As a guideline, it will be necessary to bring th soil to wi.•thin 4 inches of the manhole lid, over the entire area of the tank:-"=== C. There is a cracked fitting (elbow) in the lift station FIXE which needs to be fixed. When the pump kicks on it sprays water all over inside the manhole. Mike Benjamin is aware of the fitting. It should only, take 10-15 minutes to fix,. but it needs to be done. d. Del Isabelle has yet to send me a letter which states uA that he will assume all responsibility for the pressure line - which he buried prior to me bein' able to inspect it. Mike Q1 Benjamin and I will need a copy of this letter before I issue a final approval of the we k. I requested this letter from Mr. Isabelle (via fax corre,pondence)1on 5/26/94. e. Due to the many problems associated with the completion' of this project I have performed numerous services which were beyond the scope of work normally provided. Prior to Telephone: (907) 337-6179 Fax: (907) 338-3246 • 8471 Brookridge llrive • Anchorage, Alaska 99504 ' final approval I will need to rf�ceive payment for services as follows; 1. Site visit requested byI'you on 4/14/94. Nobody showed up!: 1 hr X $75.80/hr. = $75.00 2. Site visit on 5/28/94 t9 inspect road realignment and earth cover over septic tank: $75.00 3. Preparation of this letter (5/28/94) and conference call with you and Del Labelle on 5/24/94: 1 hr X $75.00/hr = $75.00 lifer and se Total: If you have any Sincerely, vz Jeff Gari se ltant site visit to in pact earth %16iaa, pipe fitt ng regai6o ON Tocation, .. 1.5 hrs X $75.00 est , P.E., M.S. C.0 Mike Benjamin Isabelle Construction /H contact me. �0/,jaVr'4,-rJO a Alid W f T,A, J09 N v GE From ISAMLLE CONSTRUCTION & EXCRVRTING C907) 248-0004 Rug.12.1994 07:00 PM -P02 ISAUELLE CONSTRUCTION & EXCAVATING P. 0. BOX 220021 j ANCHORAGE, ALASKA 99522 PHONE" (90.7) 243-5845 FAX (907) 248-0004 mfg IIY `'G ^�, i DA7k2 i NO. OF PAGES INCLUDING COVER SHCCY__ ,.., TO: ) �� i COMPANY: l✓o ,•:....—`C�/ly.A• l T xy�li,✓ I FAX #:5 MESSAGE: • - - �'�..1s.,�a1A..ri1�.✓',... '?`�i�r �'// _.�1.:e_Gktr�..._.1�u-�rFera r`/','/e/ - �', _.,�",kae, r L__ fid. �..,�. �r,�.—.1;.•r.:r�/'•� s_ex�LK �.�...�... i -ry-/�/ /- ..•ter/ .,1..L? �h� J. r 1_t�r—�i/� /—T�-�,� � % .F__ h ,..�d' �' %77 /,•�4'.�;-....-. i.i.,.�Ul�.,/'�RL�..y.Y.Cf..,.81[.dt././�.�.f'i�...[L.._.r..Lx-C.t-Y-^Ll.�tmd/ Cla y t/ri,,. ����rG7Zrahls wJ: �'/, k/, cr..,rJr • p!1 S %7'•� � Y�'/lvrY - I � rJ'✓��'�iayJ.: � ��, C� r%rUO/7 mr I7Y[/•i a� /2/ud��! ��r14�Y Li Y�U.1'Y i' I, MUNICIPALITY OF ANCHORAGE 0* DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# o1-7-3`I3--O�y HAA# �QNSonLVC)7 _ 1. GENERAL INFORMATION Complete legal description Lot 3B; Btoeh 5; Rabin H,iU6 Subd.ivi3.ion � Location (site address or directions) 13100 FConaY Lane Anchorage. AK _ Property owner _Michaa 9 Man.da Ben,1amtin Day phone 276-6353 (Mat a) Mailing address 13100 FtonaC Lane Anehonage, AK 99516 _ Lending agency A2a6ka U.S.A. Feden.at C. U. _ Day phone —_ Mailing address_ Agent _ Greg Bnddekick/ V.ih.ta Reale_ Estate __ Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 2 XXX 273-7299 NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX_ Holding tank Community on-site _ Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. -1191( Frani MOA Y21 5. STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. l further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S & S ENGINEERING Name of Firm Phone cl `1 — `r 7 j —X7033'Eagts7tive(-trnoFrl3oad-N�26f`-- — Address Eagle River, Alaska 99577 Engineer's signature _ L', --_ Date y /) �L /'7 -S OF T Y ROBERT C. COWAN f Q 4P CE.8801 ar ' 6. DHHS SIGNATURE 0 . O Approved for `� A pp bedrooms. `�^�iY.,.,,_-�:+•`-" Disapproved. —_ Conditional approval for _—_ bedrooms, with the following stipulations: Additional Comments By: �■�vv • mmmmv�= The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Rev,1/91) Back MOAH21 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION Municipality of Anchorage SEP 12 1996 f�74 DEPARTMENT OF HEALTH & HUMAN SERVICE=S Environmental Services Division ��((� V825 L Street, Room 502. • Anchorage, Alaska 99501 • (907 �3"4�j E D Health Authority Approval Checklist Legal Description: 1201"x/ i»4lS Parcel I.D.:_0I 7 - 39 3_0 S U cd o�v,rs-Xaid A. WELL DATA Well type ZJ/+rte _ If A, B, or C, attach ADEC letter. ADEC water system number Log present(/N) ii�= S _ Date completed // Total depth _ /�C Cased to /; v/S - 9.3 Casing height (above ground) -- Sanitary seal &N) i� �' Wires properly protected (Y/N) _ FROM WELL LOG AT INSPECTION Date of test //.- S' 9 .� %,fid - Static water level 13C J Well production WATER SAMPLE RESULTS: Coliform 0 S� Nitrate `3 a I Other bacteria d Date of sample: % % ` 9 E Collected by: -S S �%✓�L"N�/-v x ✓� F� -T OZHOLDING TANK DATA Date installed//--/ /��!- 9�� Tank size /�S� 641- Number of Compartments Z Cleanouts A) Foundation cle�nput.Fr'4rv) _� � Depression (Ya NO High water alarm JqN) /V_/e_S _ Date of^Pum^m p g .—_T- Pumper i�<vS /•tv,a� SG/°✓zGES C. ABSORPTION FIELD DA - Date installed %�=� 7 - - _ Soil rating_ �� /fir ftz/bdrm) /� z _System type DwF/° !��%✓6t� Length _!�G _Width U_✓�.vvo A✓_ Gravel thickness below pipe S � _Total depth _ Effective absorption area Monitoring Tube present p1) Y� Depression overfield (Y/ I�i✓�' _ Date of adequacy test % /(x '96 Result Ea�'se�/Fail) / > For _ 61 -bedrooms Fluid Fluid depth in absorption field before test (in.); _3Immediately afterh���gal. water added (in.): 0 Fluid depth. (ins) Minutes later: Z 4C _ Absorption rate g.p.d. Peroxide treatment (past 12 months) (YW el/vle' z�-Iyao�' If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed /�"�S� Size in gallons / ZS 0 C."41- S- Manhole/Accessi) YDS "Pump on" level at* "Pump off" level at* High water alarm level at* �,T / *Datum Cycles tested 3 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: i holding tank on lot /00 /_ On adjacent lots Absorption field on lot /fid t On adjacent lots /©O Public sewer main /U• Public sewer manhole/cleanout Sewer /septic service line .4/, A ; Lift station SEPARATION DISTANCES FROM � OLDING TANK ON LOTTO: J Foundation 5 (- Property line S_ / r Absorption field S Water main/service line 162 i/� Surface water/drainage /00 � Wells on adjacent lots /DO SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: i Property line to Building foundation 0 Water main/service line fU i.` Surface water Driveway, parking/vehicle storage area Curtain drain ✓ Wells on adjacent lots /e 0 - F. ENGINEER'S CERTIFICATION 1 certify that I have determined thru field inspections and review of Municipal in conformance with MOA�c/A guidelines effect on this date. Signature R,l Engineer's Name /f 0/3tifZr C Cac✓W.✓ Date HAA Fee $ 'A 6i /rx/%6 Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number ROBERT C COWAN It sl. CE -8801 are R4unicipaiity of Anchorage :. Development Services Department Building Safety Division, On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite r (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL !� FOR A SINGLE FAMILY DWELLING Parcell.D. dl�-3g3 OL/ COSA# ©qD,2ya 1. GENERAL INFORMATION Expiration Date: 16 - 3 O - 0 q Complete legal description ROBIN HILL #2• BLOCK 5. LOT 3B ❑ Public Water System ❑ Location (site address) 13100 FLORAL LANE * ANCHORAGE, AK ► 99516 Current Property owner(s) ERIC AND LAURA KELM Day phone 522-3227 Mailing address 13100 FLORAL LANE • ANCHORAGE, AK • 99516 Lending agency Day phone Mailing address Real Estate Agent MARILYN MOORE W/ REAL ESTATE BROKERS OF ALASKA Day phone 244-2844 Mailing address 3300 C STREET #200 + ANCHORAGE AK • '99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spoyses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTIO14 BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage (les and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Finn GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SURE 101 * ANCHORAGE, AK 99507 Engineers Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for �3_ bedrooms. Disapproved. Phone 337-6179 Date —117-8/D5 Gorne s: ' E-79 J7 G�cgoO ��D��Prof eesiuo?Qo Conditional approval for bedrooms, with the Mowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Report Othar (Rw 11/05) G\Qr�,....,� •�� , ON-SITE WATER AND WASTEWATER PROGRAM KI Original Certificate Date: 7-30-09 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ROBIN HILL 02• BLOCK 5, LOT 3B Parcel ID: 012- 393 20 I A. WELL DATA Well type PRIVATE If A. B. or C provide PWSID# N A Well Log (YIN) YES Date completed 11/5/1993 Sanitary seal (YIN) YES Wires properly protected (YIN) YES Total depth 146 ft. Cased to 146 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 11/5/1993 6/4/2009 Static water level 130 ft. 115 @• Well production 5 9•P•m• 5.6 g.p.m. WATER SAMPLE RESULTS: Coliform �' �,/0� colonies/100 ml. Nitrate✓• 53 mg./L. Other bacteria colonies/100 ml. v V Arsenic: 1 ug./L. Date of sample: 6/4/2009 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./STEEL Date installed 11/16-17/1993 Tank size 1250 gal Number of Compartments E Cieanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) YES Date of pumping 5/14/2009 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA eFrow EXISTING GRnoEI Date Installed 11/16-17/1993 Soil rating .p.d./ r ft'/bdnn) 1_2 System type TRENCH Length 46 ft. Width 3 ft. Gravel below pipe 5.8 ft. Total depth *10.08 ft. Eff. absorption area 522 ft: Monitoring tube YES Depression over field NO Date of adequacy test 6/4/2009 Results (Pass/Fail) PASS For E bedrooms Fluid depth in absorption field before test 12 in. Water added 600 gal. New depth 20 In. Elapsed Time: 1 EO min. Final fluid depth 12 In. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date D. LIFT STATION Date installed 11/16-17/1993 Size in gallons 1250 Manhole/Access (Y/N) YES "Pump on" level at 41 in. "Pump off" level at 41 in. High water alarm level at 45 in. Datum BOTTOM OF TANK Cycles tested 3 Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 50+ Property line 59+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Surface water Welts on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. CARNESS Date - '7/213/4 Y COSA Fee S �1 ' [ d Waiver Fee $ Date of Payment I2 X I o 9 Date of Payment Receipt Number O$ 35105 Receipt Number (Rev. 11/05) Municipality of Anchorage • �` Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 090242 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 5, Lot 3B of Robin Hill #2 subdivision. This inspection revealed a nitrate concentration of 5.53 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval.